Impulse Diagnostics TX Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

P6398 Issued in TX

Legal business name

IMPULSE DIAGNOSTICS TX INC

Practice address

4402 Vance Jackson Rd Ste 144
San Antonio, TX 78230-5336

Phone

(210) 481-9032

Fax

(210) 568-4433

NPI assigned

Jan 25, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eugenia Elisseev

Title

Ceo

Phone

(210) 878-7372

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1881999654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 VANCE JACKSON RD STE 144",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305336",
            "telephone_number": "210-481-9032",
            "fax_number": "210-568-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 VANCE JACKSON RD STE 144",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305336",
            "telephone_number": "210-481-9032",
            "fax_number": "210-568-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPULSE DIAGNOSTICS TX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "ELISSEEV",
        "authorized_official_first_name": "EUGENIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-878-7372"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P6398",
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "TX",
            "license": "942",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Impact Urgent Care
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• Natasha Impink-Hernandez, DDS
• Implant Concierge, LLC
• Improve Everyday PLLC
• Impulse Inc
• Zahid Imtiaz, MD
• In Bloom Therapy, PLLC
• In His Hands Counseling Center
• In Home Health LLC

• Physical Medicine & Rehabilitation Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.